{"title":"Assessment of Thrombolysis in Myocardial Infarction Risk Score in Acute Coronary Syndrome among Saudi and non-Saudi Patients at King Abdulaziz University Hospital, Jeddah, Saudi Arabia","authors":"W. Alhejily, Raneem Fallatah, Haneen Alabsi, Hadeel Sameer Ashi, Shahad Majed Alharbi","doi":"10.32790/SJIM.2018.8.1.4","DOIUrl":"https://doi.org/10.32790/SJIM.2018.8.1.4","url":null,"abstract":"Background: One third of all deaths worldwide are attributed to acute coronary syndrome. The thrombolysis in Myocardial Infarction Risk Score is used to assess the risk of mortality and major adverse outcomes in this population. This study aimed to assess and compare the morbidity and mortality differences rate between Saudi and non-Saudi patients with acute coronary syndrome. \u0000Methods: This retrospective study was conducted at the coronary care unit of King Abdulaziz University Hospital. All acute coronary syndrome cases were enrolled and assessed using the thrombolysis in Myocardial Infarction Risk Score. \u0000Results: 242 cases were divided as 98 ST-elevation myocardial infarction cases and 144 unstable angina/non ST-elevation myocardial infarction. Among ST-elevation myocardial infarction patients 21 were Saudi patients and 77 were non-Saudi patients with the median thrombolysis in myocardial infarction risk score for Saudi was 5 and for non-Saudi 3.5 (P = 0.6). Unstable angina/non ST-elevation myocardial infarction cases had 47 Saudi patients and 94 non-Saudi patients with the median score was 4.2 for Saudis versus 4.5 for non-Saudis (P = 0.4). \u0000Conclusion: Overall thrombolysis in myocardial infarction were higher in Saudis with ST-elevation myocardial infarction than non-Saudis, and higher for non-Saudis with unstable angina/non ST-elevation myocardial infarction than Saudis. However, the difference was not significant (p = 0.6, p = 0.4). The 30 days and one-year mortality as well as major adverse cardiac events were similar between the two groups in ST-elevation myocardial infarction (P = 0.4 and 0.7) and unstable angina/non ST-elevation myocardial infarction population (P = 0.3 and 0.3).","PeriodicalId":280480,"journal":{"name":"Saudi Journal of Internal Medicine","volume":"351 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131205199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. M. AlSharif, Marwah S. Al-Qathmi, W. M. Baabdullah, T. A. Alhrkan, Yara A. Fayoumi, F. Alhejaili, S. Wali
{"title":"The Effect of Caffeinated Beverages on Sleep Quality in College Students","authors":"S. M. AlSharif, Marwah S. Al-Qathmi, W. M. Baabdullah, T. A. Alhrkan, Yara A. Fayoumi, F. Alhejaili, S. Wali","doi":"10.32790/SJIM.2018.8.1.6","DOIUrl":"https://doi.org/10.32790/SJIM.2018.8.1.6","url":null,"abstract":"Objectives: Poor sleep quality is considered a global health problem. Considering that caffeine intake contributes to sleep disturbances, we evaluated the relationship between sleep quality and the consumption of caffeinated beverages in college students in Jeddah, Kingdom of Saudi Arabia. \u0000Methods: This was a cross-sectional study conducted with college students aged 18 to 25 years old from both governmental and private colleges in Jeddah, Saudi Arabia. Sleep quality, caffeine intake, and stress exposure were assessed using three validated electronic questionnaires. \u0000Results: A total of 476 college students completed the questionnaire. Sleep quality was found to be poor in 80.7% of students. The prevalence of caffeine intake was as follows: none = 8%, a tolerable amount = 40.5%, and excessive = 51.5%. Of the students who reported excessive caffeine intake, 83.3% had poor sleep quality. The relationship between excessive caffeine intake and poor sleep quality was significant (p = 0.003). \u0000Conclusions: The majority of students had poor sleep quality, and this was correlated with excessive caffeine intake. Our results highlight the importance of raising awareness among students about the factors that may affect sleep quality.","PeriodicalId":280480,"journal":{"name":"Saudi Journal of Internal Medicine","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128591988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk Factors Associated with Body Injuries due to Falls in a Teaching Hospital in Saudi Arabia","authors":"Fatmah Yamani, T. Alaama","doi":"10.32790/SJIM.2018.8.1.2","DOIUrl":"https://doi.org/10.32790/SJIM.2018.8.1.2","url":null,"abstract":"Objectives: The objective of this study is to identify the risk factors associated with fall injuries among patients in King Abdulaziz University Hospital. \u0000Methods: A retrospective cohort study based on a review of the medical records of patients (in- and outpatients) in King Abdulaziz University Hospital was done from February 2013 to October 2013. The data included medical histories, including fall history, fall-related hospitalization and complications, history of anemia, arthritis, and cardiovascular disease, including drug and smoking history. Laboratory and radiology findings were also included. The data was analyzed using IBM SPSS Statistics for Windows, Version 20 (IBM Corp., Armonk, NY USA). \u0000Results: Among 108 samples, 58 had experienced a fall and 50 served as control. Roughly 98% had a history of fall-related hospitalization, 85% were complicated by fractures, while 12% were complicated by intracranial bleeding. Patients older than 60 were more likely to fall and to have a history of falls (p < 0.001). Non-smokers were more likely to report a history of falling (p < 0.001). Cases with previous fall-related hospitalization (p < 0.001) were more likely to have a fall. Conversely, cases with anemic history [28 (48%) (p < 0.001)] were less likely to have a fall than their non-anemic counterparts. \u0000Conclusion: Given the multifactorial nature of fractures, larger local studies are recommended to investigate the risk of fall-based fractures. The high risk of individuals experiencing multiple falls with a significant likelihood of complications suggest that further investigation will help improve patient outcomes, reduce treatment cost and need for long-term support.","PeriodicalId":280480,"journal":{"name":"Saudi Journal of Internal Medicine","volume":"1259 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115829681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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